Foreword II

Middle ear and mastoid surgical procedures constitute the vast majority of otological procedures utilized by the general otolaryngologist, head and neck surgeon (often 50% of those practice), and especially by the otologist-neurotologist. There are a number of other textbooks that discuss otology as a whole, including information regarding pathogen-esis of the many hundreds and even thousands of ear diseases. The recent literature with emphasis on molecular biological studies, including syndromic hearing losses (usually sensorineural), with particular relevance and frequency of studies enhancing our understanding of nonsyndromic hearing losses, represent a new wave of important information regarding etiology and pathogenesis. other texts also emphasize medical management of otological diseases as well as information regarding intracra-nial diseases and related surgical procedures. The above serve as an essential background to this practical text, which focuses on the most common surgical procedures (middle ear and mastoid) that will provide information, reference, and assistance to residents, fellows, general otolaryngologists, and otologists-neurotologists, as well as others in associated fields with an interest in otological surgery.

In this text, Middle Ear and Mastoid Surgery, Dr. Rex Haberman (Editor) has most of the common surgical procedures covered, with a nicely balanced selection of authors for the various chapters. Each chapter necessarily stresses the authors' point of view and the reader will benefit from this information relative to his/her personal experience and database of otological surgery. The authors also blend new and slightly older "blood," so that on the whole this book incorporates current innovative procedures with more experienced time-proven surgical procedures.

Once more, this text will prove to be of interest and useful to all involved in these common otologi-cal surgical procedures, which represent the majority of surgical otology.

Michael M. Paparella, M.D.

Minnesota Ear, Head & Neck Clinic Clinical Professor and Chairman Emeritus Department of Otolaryngology University of Minnesota International Hearing Foundation

On a day prior to September 11, 2001, at the American Academy of Otolaryngology-Head and Neck Surgery annual meeting in Denver, Colorado, I had dinner with Esther Gumpert, consulting editor from Thieme Medical Publishers for otolaryngology, ophthalmology, and orthopaedics titles. She told me that she had some ideas about a new otologic textbook and wanted to know if I had any thoughts regarding the same. She asked if I would be interested in editing and authoring this new text. The task seemed daunting. After a long discussion, however, it became clear to me that otolaryngology needed a book that was applicable to the general otolaryngologist and otolaryngology resident, and was defined, chapter by chapter, by operative procedure and not by anatomy or disease state. We thought that the book should be a frequently used addition to the libraries of otolaryngologists and not one to sit on the shelf. With that in mind, we set off to recruit the best otologic surgeons in the world to contribute to the project. We asked them to write in a way that is easily understood and can be quickly referenced. Our intent is for practitioners and residents to open the book regularly to review and prepare for upcoming otologic surgeries.

The table of contents clearly demonstrates our idea. At first, simple otologic procedures, such as myringoplasty and tympanoplasty, are presented. Tympanoplasty is presented in its many forms, with both medial and lateral techniques discussed. If an ear surgeon needs to make a decision regarding whether it would be better to do a lateral graft versus a cartilage graft, all that is necessary is to compare Chapter 4 and Chapter 6. The surgeon should be able to assimilate the different techniques and determine which best fits the patient. A variety of mastoid techniques are presented next, including wall up, wall down, intact bridge, revision, recon

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